Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or South Carolina for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to South Carolina only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. South Carolina (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Gerald Hull (NPI 1639130628)

Gerald Hull is a urology physician provider located in Spartanburg, South Carolina. This profile covers 19 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Provider details (source: NPPES NPI Registry)

Medicare: Complete Services Breakdown

Field	Value
Entity Type	Individual
Organization	Gerald Hull
Address	391 Serpentine Dr
City	Spartanburg
State	SC
ZIP	29303
Taxonomy	Urology Physician
NPI Enumerated	March 29, 2006

Payer Source	Total Paid
Medicare	$79.6K
Medicaid	$0

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

19 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
55867	The provider excises part of the prostate gland using a laparoscopic approach. The provider also performs a vasectomy, incises and enlarges the urethra, and takes measures to prevent blood loss after…	20	$780	$13.3K
55866	The provider removes the prostate gland through a minimally invasive laparoscopic approach behind the pubic bone. The surgery is radical, meaning the entire prostate is removed, often to treat…	20	$890	$13.3K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	200	$60	$12.3K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	90	$100	$8.8K
55700	Code deleted December 31, 2025.	60	$90	$5.3K
52000	In this procedure, the provider performs an examination of the interior of the bladder, the urethra, and the ureteric openings by means of a cystourethroscope, a thin flexible or rigid tube with a…	80	$50	$4.4K
38571	The provider makes small incisions and inserts a camera into the abdomen to view the lymph nodes. He excises all lymph nodes on both sides of the pelvis. This procedure is done to remove any diseased…	20	$250	$4K
52234	The provider inspects the urethra, prostatic urethra (in men), the interior of the bladder, and ureteric openings using a cystoscope passed through the urethra and into the bladder; he destroys…	10	$180	$2.2K
51720	This is a common treatment for bladder cancer. It involves instilling an anticarcinogenic agent into the bladder through a catheter. The provider leaves the agent in the bladder for a period of time…	70	$30	$2.2K
99222	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	20	$100	$1.9K

Showing 1–10 of 19

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	3,446	7,860	160	$80	$23.2K
52000	80	140	100	$150	$17.3K
55866	10	20	20	$760	$13.7K
55867	1	10	20	$750	$12.1K
99232	2,334	2,780	90	$60	$12K
99213	5,665	7,690	100	$60	$10.8K
99215	602	2,360	40	$120	$9.3K
52234	10	10	20	$320	$8.5K
99223	1,727	2,080	40	$130	$8.3K
55700	15	100	30	$210	$7.4K

Gerald Hull — Billing Profile & Reimbursement Data

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Gerald Hull — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Frequently Asked Questions

References